JENNIFER JOHNSTAD LLC (NPI# 1316182926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316182926 |
| Entity Type | Organization |
| Organization Name | JENNIFER JOHNSTAD LLC |
| Practice Address |
2421 E Southern Ave Suite 1 Tempe AZ 85282-7612 |
| Practice Telephone | 4804852158 |
| Practice Fax Number | 4808394727 |
| Mailing Telephone | 4804852158 |
| Mailing Fax Number | 4808394727 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2009-08-21 |
| Authorized Official Name | MRS. JENNIFER ANNE JOHNSTAD (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 4805123970 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2492 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2421 E SOUTHERN AVE SUITE 1 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-7612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125230 | Jacqueline Audreymenia Powell | Anesthesiology | 2421 E Southern Ave, Suite 1, Tempe, AZ 85282 | 2005-06-23 |
| 1972039923 | J Wu Anesthesia Pllc | Anesthesiology | 2421 E Southern Ave, Suite 7, Tempe, AZ 85282-7612 | 2017-05-11 |
| 1508301813 | Travel Vaccines & Wellness Solutions | Clinic/Center | 2421 E Southern Ave, Suite 5, Tempe, AZ 85282-7612 | 2016-12-21 |
| 1538512496 | Andrew B Mangum Md Pllc | Anesthesiology | 2421 E Southern Ave, Suite 1, Tempe, AZ 85282 | 2016-07-15 |
| 1689033581 | Norman Nazareth Md PC | Anesthesiology | 2421 E Southern Ave, Suite 1, Tempe, AZ 85282 | 2016-02-19 |
| 1275992414 | Katalin H Boleratzky Md Inc | Anesthesiology | 2421 E Southern Ave, Ste 1, Tempe, AZ 85282 | 2016-02-16 |
| 1386003754 | Vyas Anesthesia Pllc | Anesthesiology | 2421 E Southern Ave, Suite 1, Tempe, AZ 85282 | 2016-02-15 |
| 1316306798 | Modern Anesthesia, LLC | Anesthesiology | 2421 E Southern Ave, Ste 1, Tempe, AZ 85282 | 2016-02-15 |
| 1518326909 | Michael J Corley Md A Professional Corp | Anesthesiology | 2421 E Southern Ave, Suite 1, Tempe, AZ 85282 | 2016-02-15 |
| 1174982565 | Lawrence Anesthesia LLC | Anesthesiology | 2421 E Southern Ave, Ste 1, Tempe, AZ 85282 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| 1306249420 | Sonoran Surgical Pllc | Physician Assistant | 2502 S Cottonwood Dr, Tempe, AZ 85282-3071 | 2014-10-02 |
| 1841561859 | Kennedy Orthopedic Services, Inc. | Physician Assistant | 1819 E Yale Dr, Tempe, AZ 85283-2249 | 2012-01-23 |
| 1710940192 | Lanny L Oden | Physician Assistant | 1186 E Redfield Rd, Tempe, AZ 85283-5732 | 2006-04-07 |
| 1700888716 | Physician Assistant Services | Physician Assistant | 7804 S Jentilly Ln, Tempe, AZ 85284-1562 | 2005-08-10 |
| 1891190062 | Donald Grace | Physician Assistant | 1255 W Rio Salado Pkwy, Suite 107, Tempe, AZ 85281-2816 | 2014-10-29 |
| 1538410071 | Mara Danielle Immediato | Physician Assistant | 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 | 2012-09-24 |
| 1346383387 | Arizona Surgeon Assistance | Physician Assistant | 2000 E Southern Ave, #105, Tempe, AZ 85282-7510 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760030647 | Blaine Wesley Price | Physician Assistant | 796 W Jardin Dr, Casa Grande, AZ 85122-6162 | 2019-09-03 |
| 1790347292 | James M Goldhardt | Physician Assistant | 1400 S Dobson Rd Ste A200, Mesa, AZ 85202-4707 | 2019-07-03 |
| 1972166858 | Red Heart Surgical Assisting | Physician Assistant | 43643 W Arizona Ave, Maricopa, AZ 85138-5642 | 2019-04-17 |
| 1053898833 | Sportsmedicine Outreach Specialist | Physician Assistant | 13247 N 80th Pl, Scottsdale, AZ 85260-4903 | 2018-07-24 |
| 1912496712 | Hw Surgical Assist, Pllc | Physician Assistant | 4057 E Laurel Ave, Gilbert, AZ 85234 | 2018-05-07 |
| 1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
| 1669985198 | Jacki Nichols | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2017-11-06 |
| 1720597214 | Merieme Khamsi | Physician Assistant | 14674 W Mountain View Blvrd #210, Surprise, AZ 85374 | 2017-09-27 |
| 1801305073 | Panduga Surgical Care, Pllc | Physician Assistant | 4904 S Power Rd Ste 103, Pmb 450, Mesa, AZ 85212-3610 | 2017-09-20 |
| 1982124509 | Catherine Fredrickson | Physician Assistant | 51312 W Deer Run Rd, Maricopa, AZ 85139-3554 | 2017-06-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.